The below questions were asked at the 08/23/2023 Other Counties (non-LA) CalAIM Ask Me Anything (AMA) session. Answers provided may change based on new or updated guidance from DMH or future updates to the Exym system.
The Billing Report is still showing claims that are also stuck in the CWPPI queue. Is there any update regarding why those claims made it through the billing report and when this issue will resolve?
- If this is regarding duplicate services for same day, same client, same service provider then we can update those to be invoiced. If its something else, please let us know.
San Bernadino County
Are there any updates for San Bernardino County in regards to the 837 being ready?
- We're working to send testing claims early the week of 8/28.
Would you happen to have the taxonomy rates for SB county? We are still awaiting this in order to submit our billing for SB county.
- They are using the state taxonomy rate, if you contact DBT-IT they will send you the link to the state to the taxonomy rate.
Place of Service
Many of the claims are due to the Place of Service local code issue. Any update? Also, why are rejected claims that are within the CWPPI queue showing up on the billing report? I thought they would get stuck in the queue and wouldn't make it to the billing report.
- For the Place of service is due to the EDI code is not in the state table and OC is still using the local code. So we need to include the local POS into the system